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Ptarmigan

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@Catirrusia I have just read through your thread from start to finish, and I am so glad you will be going in to see your GP very soon. I am so sorry your recovery has been complicated by unexpected problems and difficult to tolerate levels of pain for an extended time.

Here are some thoughts I hope will help:

1. Can your GP help you get your pain under better control? Your degree of suffering seems unnecessary and unhelpful to me. No matter what diagnosis or course of therapy you decide on with your GP, it seems necessary to give you better relief while you heal.

2. Uncertainty over diagnosis is troubling you - even though Josephine has pointed to both psoas and piriformis as possible trouble-makers based on the location of your pain. I hope your GP can confirm a diagnosis for you and help you feel more clarity about your circumstances.

3. The elliptical entry at 6 weeks seems significant to me as the point where your symptoms changed from post-THR symptoms to something else. In fact, the immediate onset of pain both during and after elliptical exercise in that session could represent an injury to vulnerable soft tissue, rather than post-surgical incisional pain. If so, this explains why the surgeon would have so little of value to offer you. He doesn’t treat soft tissue injury.

4. You seem to be a bit of an over-achiever, and have had some difficulty taking the restricted activity advice literally. Once your GP sorts out a course of treatment for you, your challenge will be to follow it to the letter - and that means taking all medication exactly as prescribed, following activity guidelines exactly as prescribed, and finding constructive ways to occupy the time you have on your hands while you heal.

All of this will be much easier to do once you get some help with your pain.

Wishing you clarity and comfort soon, and a giant transfusion of patience to see you through this setback...
 
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Catirrusia

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If I have psoas tendonitis it is because the acetabular cup is rubbing against the muscle, which it means that there is an impingement. The metal piece was placed wrong.
Do you understand?

Since day one after surgery, I felt like something was not right. And it has been three months now. Agony!
 

Ptarmigan

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I understand you believe impingement is the cause, but I also understand it has not yet been confirmed by your doctor, unless I missed this in your thread. If so, I am sorry... I tried to read very carefully.

Hopefully, you can get medical confirmation one way or another: a second OS should be able to review your X-rays and/or MRI’s and give you their objective feedback on the placement of the acetabular cup. Your GP should be able to confirm the diagnosis of tendinitis based on your presenting symptoms - psoas, piriformis, or both - and start treatment (and/or refer you for treatment).

Once you get the definitive information from the doctors, you’ll be on your way to a new treatment plan. As I said, I genuinely hope it starts with a better approach to pain management than you have now!

Very much hoping the next doctors appointment will bring you peace of mind and a positive way forward!
 

alexthecat

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If I have psoas tendonitis it is because the acetabular cup is rubbing against the muscle...
This is not necessarily true. Psoas tendonitis can have causes other than impingement. It can even happen in people without THR. I know because it happened to me before my THR and was successfully treated by PT. Very often psoas tendonitis is an overuse injury.

I agree with Ptarmigan that you need to get a definitive diagnosis. At this point, you seem to be speculating that you have an impingement. Jo looked at your xray and said that she doesn't see a problem with your acetabular cup.



Sent from my SM-S327VL using Tapatalk
 
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Catirrusia

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Thank you for your notes of comfort. I got up with more pain down to my thigh. I have to see the result of my MRI with my GF and go from there. I don't want to take opium medication; got surgery to get better not to get worse and not to take narcotics.

I am not doing any activity, I can't walk; my walking is very limited.
 

Layla

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Hi @Catirrusia I understand you are opposed to strong medications and Opioids.
Are you at least taking the Tylenol at 1000 mg, four times daily? Taking no more than 4000 mg in any 24 hr period. You also need to calculate in any other meds you're taking that contain Acetaminophen
so you're not exceeding the 4000 mg.

Not sure what you mean by meeting with your GF to go over your MRI. Do you mean you're meeting with a GP? If so, has the appointment been scheduled?

Have you been icing at all lately?
If walking is as painful as you describe, rest more often and make use of icing to see if it brings you any relief. Ice for 40-60 minutes, no less, several times per day.

Hope you find relief soon.
 

Josephine

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If I have psoas tendonitis it is because the acetabular cup is rubbing against the muscle
Actually, you're wrong. By far the majority of psoas tendinitis cases are NOT caused by impingement.
I don't want to take opium medication; got surgery to get better not to get worse and not to take narcotics.
Unfortunately, my friend, taking strong pain killers is an unavoidable part of surgery. Mankind was not built to cope with surgical pain without that help.
 
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Catirrusia

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I saw my family doctor and he read the report of my MRI.
Nothing; just want to cry. Family doctor was not helpful at all.
Please, help, the pain still there.
I regret having surgery, had less pain before.
Something is wrong.
I read that sometimes MRI don't show iliopsoas tendonitis.
But the pain is at the front and sharp down my tigh and pelvic.

Maybe is infection.
Have to ask the doctor to rule all things out
 

Layla

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Was this today...that you met with your GP?
 

Layla

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I thought infection was already ruled out, Catirrusia?
It's the doctors responsibility, not really yours, to determine what tests you need to determine the origin of your pain.
 
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Catirrusia

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Sure, but each time I see the doctor he says: don't know.
What else can I tell you, Layla?

Thank you, I love all of you.
Kisses
At least don't feel alone.
 

Layla

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I'm sorry for your pain and longsufferring. I'm at a loss at how to advise.
Please try to obtain a second opinion from another OS. Do some research and find a surgeon
who comes highly recommended and go from there. It seems you're at an impasse with both
your Orthopedic surgeon and your GP.

Consider trying some of the ideas that Josephine suggested in Post 99.
I'm referring to the options that you haven't mentioned were unsuccessful. You never know, possibly one of them could bring you some relief.
Wishing you comfort for today.
@Catirrusia
 

Josephine

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I read that sometimes MRI don't show iliopsoas tendonitis.
Of course not. It never shows that. And it's not infection.

I'd really like to offer you some structured advice but in order to do that, I also need to ask you some questions. Are you willing for me to do that?
 

Layla

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Hope today is a better day @Catirrusia
With any luck it's a beautiful Soring day in your area and you can get out and smell the roses a bit.
Happy Wednesday to you!
 

Josephine

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Here y'go then!

It would be very helpful if you would answer each one individually - numbered as I have done - in as much detail as you can then I'll come back as see where you are

1. what approach did you have for your surgery? Anterior, posterior, lateral? You can look here to see the various types THR approaches or incisions

2. what are your pain levels right now? (remember the 1-10 scale: 1 = no pain and 10 = the worst you can imagine. And don't forget to factor in other forms of pain such as soreness, burning, stabbing, throbbing, aching, swelling and stiffness).

3. what pain medications have you been prescribed, how much are you taking (in mg please) and how often?

4. are you icing your painful area at all? If so, how often and for how long?

5. are you elevating your leg. If so how often and for how long?

6. what is your activity level? What do you do in the way of housework, cooking, cleaning, shopping, etc., and

7. are you doing any exercises at home? If so what and how often?
This is the most crucial question so please help me by using the format I have left as an example
(which means please make a list and not an essay!)

Exercises done at home
- how many sessions you do each day
- enter exercise by name then number of repetitions of each
etc., etc.

Anything done at PT
- how many times a week
- enter exercise by name then number of repetitions of each
etc., etc.
 
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Catirrusia

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Good news.
I saw the OS today and I explaned to him what I think it was.
He is going to send me to see another OS to get a second opinion, he is sending me to a good hospital here in toronto. He is not thinking about his ego.:loveshwr::loveshwr:
He just want me to feel happy and not crying and if he has to open me up again, he prefer to fix what is wrong.
But first, we need second opinion.
I feel so great after I saw him.
It felt like my problem is going to be fixed.
He said:I am not thinking about my ego, I just want you to be pain free and go back to your normal life.
 

Layla

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This is wonderful news, Catirrusa! I sense your feelings of hope and optimism.
It's heartwarming to see you using happy emojis and feeling confident that you may soon receive
a diagnosis / resolution to the pain you've been suffering. I'm happy for you.
Please stay in touch and let us know what you learn.
Wishing you comfort in the interim.
@Catirrusia
 
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Catirrusia

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Josephine,
I have already answered your question long time ago.
Please, don't ask me the same thing twice.
Go back and look when you told me that i had psoas and pisicorme simptoms.
There were your questions and my responds to you.
I hope you are not a robot.
 

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